Welcome to IV Directory
Let's Get Started!
We are very excited to start generating new IV Therapy patient referrals for your practice. Before we can begin developing your new profile listing, we need to learn a bit about yourself and your unique practice!
For optimal conversion rates and increased web traffic, we strongly recommend providing as much information about your practice as possible. All content submitted should be proprietary to your clinic, and a good representation of your practice.
For questions please call 800-775-0283 Ext. 101
*All fields with an asterisk are required.
What phone number would you like your incoming patient calls routed to?
This should be your primary office number so all calls from prospective patients can be connected to your staff.
What email address would you like your incoming email inquiries from patients sent to?
All online consultation requests will be automatically sent to the address(es) specified below. You may provide up to 2.
Your physical office address where you currently see patients
We will only market one location per membership.
Address Line 2
State / Province / Region
ZIP / Postal Code
During business hours do you have?
Someone actively answering phones
Phone answering service
Will the clinic or the provider be featured?
Name of the clinic.
Name of the provider.
Will this provider see the patients?
Please list the provider that will see patients.
Biography for the provider(s) - you can copy and paste this information from a document or website.
Provide the mission statement or medical philosophy of the clinic.
Which of the below IV Therapy Drips are offered to patients?
You may choose up to 10.
High-Dose Vitamin C
Hydration & Recovery
Do you accept insurance?
Ownership of Intellectual Property and Trade Secrets:
By signing our Subscriber Agreement, and completing this New Member form, you hereby acknowledge that you agree to our policies on intellectual property, confidentiality and trade secrets as stated in our agreement. Please refer to these sections of your subscriber agreement for further understanding of our terms and conditions. We are very diligent in enforcing these policies. Please contact us if you have any questions.
I authorize Akamai Innovations to use content from my website.
What is your current website URL?
You may include up to 2.
Upload limit for each image is 8MB. If you have any files that exceed 8MB, you may email them to
Photo of provider
If no photo is available, please provide a clinic logo below.
Brochures or additional marketing information
Please include at least one testimonial or a link to a review.
I have read and understand the terms and conditions included in my membership agreement.
Once your form is submitted it will take our Web Development Department 7-10 business days to build your directory listing. Once your directory listing is complete, you will be notified via email by our Member Support Team.
We appreciate you taking the time to provide us with the necessary content and information.
We look forward to sending you many new patient referrals for years to come!
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